1. Home
  2. Directory
  3. Michigan
  4. Cheboygan
  5. Counselor
  6. NPI Profile

DIANE LISSFELT LMSW, ACSW, CAC-1
NPI 1124176995
Counselor - Addiction (Substance Use Disorder) in Cheboygan, MI

Active since January 08, 2007PECOS Enrolled
6948 N BLACK RIVER RD, CHEBOYGAN, MI 49721(231) 625-9937(231) 625-9937 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diane Lissfelt Lmsw, Acsw, Cac-1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE LISSFELT LMSW, ACSW, CAC-1 (NPI 1124176995) is an individual addiction (substance use disorder) provider in Cheboygan, Michigan, licensed in Michigan (1-03082) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124176995
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDIANE LISSFELTCredential: LMSW, ACSW, CAC-1
Location Address6948 N BLACK RIVER RDCheboygan, MI 49721-9521
Mailing Address16231 Nipigon RdCheboygan, MI 49721-9341 · (231) 420-0245 · Fax (231) 625-9937
Phone(231) 625-9937
Fax(231) 625-9937
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1124176995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MI · 1-03082
Also ListedSocial WorkerTaxonomy 104100000X · License 6801066875 (MI)
6948 N BLACK RIVER RD, Cheboygan, MI 49721
Open in Google Maps ↗

Other Identifiers 1

Other220128MI · Tricare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane Lissfelt Lmsw, Acsw, Cac-1 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Lissfelt's NPI number?

The NPI number for Diane Lissfelt is 1124176995. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Diane Lissfelt located?

Diane Lissfelt practices at 6948 N Black River Rd, Cheboygan, MI 49721. The listed phone number is (231) 625-9937.

What is Diane Lissfelt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Diane Lissfelt enrolled in Medicare?

Yes. Diane Lissfelt is registered in the Medicare PECOS enrollment system.

What insurance does Diane Lissfelt accept?

Health plans from Priority Health and Providence Health Plan list Diane Lissfelt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diane Lissfelt was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.